Alt Biz Capital LLC

Multi-Use

Multi-Use Quote Application

Pre-Qual Form

Owner First, M.I., Last Name:

Partner(s) ? (If none type "None")

Primary Address

City, State, Zip Code

Phone:

Email:

Birth Date

SS #

Business Legal Name:

What Type of Entity ?

Business Start Date:

Average Annual Revenue

Desired Funds Needed:

Purpose of Funds Needed:

When do you need the funding ?

Any bankruptcies ? When ?

If yes, Month/Year it was Discharged

Are you a Foreign National ?

Do you have a ITIN ?

Do you have a US Bank Account ?

Do you have a website ? If so, what is it ?

Estimated Net Worth

How much Cash Reserves & Credit ?

Estimated Credit Score ?

Additional Comments:

Property Street Address

Property Street Address 2

Property City, State & Zip Code

Is property currently under contract ?

Contract Purchase Price

Desired Rehab Budget

Total Loan Amount Requested

After Repair Value or As-Is Value

Targeted Close Date

Insurance Cost (Annual)

Property Taxes (Annual)

Estimated Yearly Revenue

Estimated Yearly Expenses

Rentable SF Commercial / Residential

% Occupied

Insurance Company Contact Name

Insurance Contact Phone Number

Insurance Contact Email

Title Company Contact name

Title Company Contact Phone Number

Title Company Contact Email

Additional Comments

# Multi-Use Props in last 24 months ?

Total Multi-Use Properties you own

Name of Managementt Company ?

Contact Us

24044 Cinco Village Center Blvd. Ste 100, Katy TX 77494, United States

E-mail: john@altbizcapital.com
Call us: +1 (832)835 5010

Fax: +1 (832)835-5011

Business Hours

Mon - Fri: 9:00 - 17:00
Sat - Sun: Closed

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